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Unknown Provider 9999999995

NPI: 9999999995Share
Active Billing Period:2018-01→2020-01(23 months)
Billing appears to have stoppedLast active: 2020-01

Total Paid

$33.9M

$33,931,881

Total Claims

98K

Beneficiaries

41K

2.4 claims/patient

Avg Cost/Claim

$348

Monthly Spending Trend

Yearly Spending

2018
$10.9M
+110%
2019
$23.0M
-100%
2020
$3K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T2031 (Waiver services, not otherwise specified)) accounts for 38% of total spending.

T2031Normal range

Waiver services, not otherwise specified

$13.0M

8,056 claims · 38.4%

Your Cost: $1,615.33/claim|Median: $853.15
1.9× median
T2033Normal range

Residential care, NOS; per diem

$8.4M

4,541 claims · 24.7%

Your Cost: $1,848.00/claim|Median: $1,051.57
1.8× median
S5125Top 10%

Attendant care services, per 15 min

$6.2M

13K claims · 18.4%

Your Cost: $497.82/claim|Median: $82.34
6.0× median
H0018Normal range

Behavioral health; short-term residential, per diem

$1.6M

3,694 claims · 4.7%

Your Cost: $433.66/claim|Median: $467.51
0.9× median
H2014Normal range

Skills training & development, per 15 min

$952K

11K claims · 2.8%

Your Cost: $86.65/claim|Median: $83.88
1.0× median
T1016Normal range

Case management, each 15 min

$811K

20K claims · 2.4%

Your Cost: $40.20/claim|Median: $49.62
0.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$545K

5,801 claims · 1.6%

Your Cost: $93.89/claim|Median: $74.63
1.3× median
S5140Top 25%

Foster care, adult; per diem

$319K

199 claims · 0.9%

Your Cost: $1,603.14/claim|Median: $252.32
6.4× median
H0015Top 10%

Alcohol and/or drug abuse, intensive outpatient, per hour

$300K

1,167 claims · 0.9%

Your Cost: $257.34/claim|Median: $129.75
2.0× median
S5150Top 10%

Unskilled respite care, per 15 min

$300K

1,120 claims · 0.9%

Your Cost: $267.95/claim|Median: $84.46
3.2× median
H0031Top 25%

Mental health assessment by non-physician

$224K

1,177 claims · 0.7%

Your Cost: $190.39/claim|Median: $96.18
2.0× median
S5102Top 25%

Day care services, adult; per 15 min

$175K

1,226 claims · 0.5%

Your Cost: $142.42/claim|Median: $81.10
1.8× median
H2010Normal range

Comprehensive medication services, per 15 min

$165K

3,759 claims · 0.5%

Your Cost: $43.77/claim|Median: $62.69
0.7× median
H0038Normal range

Self-help/peer services, per 15 minutes

$141K

4,688 claims · 0.4%

Your Cost: $30.10/claim|Median: $55.04
0.5× median
H2012Normal range

Behavioral health day treatment, per hour

$120K

3,320 claims · 0.4%

Your Cost: $36.23/claim|Median: $137.86
0.3× median
H2027Normal range

Psychoeducational service, per 15 minutes

$107K

2,051 claims · 0.3%

Your Cost: $52.36/claim|Median: $82.72
0.6× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$106K

1,702 claims · 0.3%

Your Cost: $62.41/claim|Median: $37.81
1.7× median
S5170Top 25%

Homemaker service, NOS, per diem

$87K

771 claims · 0.3%

Your Cost: $112.53/claim|Median: $19.89
5.7× median
E0676Top 25%

$69K

131 claims · 0.2%

Your Cost: $523.30/claim|Median: $130.66
4.0× median
99214Top 10%

Office/outpatient visit, est. patient, mod-high complexity

$59K

575 claims · 0.2%

Your Cost: $103.01/claim|Median: $53.41
1.9× median
S0215Normal range

Non-invasive prenatal screening, fetal chromosomal abnormalities

$30K

1,400 claims · 0.1%

Your Cost: $21.32/claim|Median: $21.33
1.0× median
S5135Normal range

Companion care, adult, per diem

$25K

370 claims · 0.1%

Your Cost: $66.58/claim|Median: $52.25
1.3× median
A0120Normal range

Non-emergency mini-bus transport

$21K

1,283 claims · 0.1%

Your Cost: $16.52/claim|Median: $16.09
1.0× median
99284Top 5%

Emergency dept visit, high complexity

$19K

78 claims · 0.1%

Your Cost: $249.45/claim|Median: $69.51
3.6× median
H0002Normal range

Behavioral health screening

$18K

573 claims · 0.1%

Your Cost: $30.68/claim|Median: $38.77
0.8× median
99283Top 10%

Emergency dept visit, moderate complexity

$13K

86 claims · 0.0%

Your Cost: $145.52/claim|Median: $42.48
3.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$12K

78 claims · 0.0%

Your Cost: $153.44/claim|Median: $108.91
1.4× median
S5110Normal range

Home care training, family; per 15 min

$10K

315 claims · 0.0%

Your Cost: $31.57/claim|Median: $74.36
0.4× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$7K

110 claims · 0.0%

Your Cost: $67.95/claim|Median: $84.03
0.8× median
94060Normal range

$7K

215 claims · 0.0%

Your Cost: $33.25/claim|Median: $25.18
1.3× median
H0020Normal range

Alcohol/drug services; methadone administration

$7K

399 claims · 0.0%

Your Cost: $16.54/claim|Median: $18.95
0.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$5K

47 claims · 0.0%

Your Cost: $107.21/claim|Median: $85.65
1.3× median
S9485Normal range

Crisis intervention mental health services, per diem

$5K

20 claims · 0.0%

Your Cost: $235.54/claim|Median: $501.33
0.5× median
99233Normal range

Subsequent hospital care, per day, high complexity

$4K

101 claims · 0.0%

Your Cost: $41.69/claim|Median: $35.30
1.2× median
99282Top 25%

Emergency dept visit, low complexity

$3K

30 claims · 0.0%

Your Cost: $101.97/claim|Median: $37.72
2.7× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$2K

214 claims · 0.0%

Your Cost: $10.03/claim|Median: $10.88
0.9× median
00731Normal range

$2K

32 claims · 0.0%

Your Cost: $61.81/claim|Median: $64.75
1.0× median
99386Top 25%

Preventive visit, new patient, 40-64 yr

$2K

13 claims · 0.0%

Your Cost: $134.38/claim|Median: $87.82
1.5× median
90837Normal range

Psychotherapy, 60 minutes

$2K

24 claims · 0.0%

Your Cost: $70.92/claim|Median: $85.66
0.8× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$2K

13 claims · 0.0%

Your Cost: $128.90/claim|Median: $51.25
2.5× median
99385Top 25%

Preventive visit, new patient, 18-39 yr

$2K

14 claims · 0.0%

Your Cost: $115.68/claim|Median: $76.22
1.5× median
90834Normal range

Psychotherapy, 45 minutes

$1K

19 claims · 0.0%

Your Cost: $70.92/claim|Median: $63.65
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$922

28 claims · 0.0%

Your Cost: $32.92/claim|Median: $23.99
1.4× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$847

16 claims · 0.0%

Your Cost: $52.93/claim|Median: $9.56
5.5× median
94664Normal range

$594

65 claims · 0.0%

Your Cost: $9.14/claim|Median: $8.88
1.0× median
71046Top 25%

Chest X-ray, 2 views

$309

15 claims · 0.0%

Your Cost: $20.61/claim|Median: $8.92
2.3× median
93010Normal range

Electrocardiogram, interpretation and report only

$102

27 claims · 0.0%

Your Cost: $3.76/claim|Median: $5.60
0.7× median
80305Normal range

$37

69 claims · 0.0%

Your Cost: $0.54/claim|Median: $7.44
0.1× median
99304Normal range

$0

413 claims · 0.0%

Your Cost: $0.00/claim|Median: $13.51
80053Normal range

Comprehensive metabolic panel

$0

98 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.24
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